2017 Jr. Coach App

This is required information for the Whitney Junior Wildcats student instructor positions. Individuals wishing to participate as instructors need to be aware of the required activities and time commitment to support the program. The following service commitments are required of all instructors.
 
Preseason Clinics
Practices
Games
WJW Mission
WJW Code of Ethics

Click the checkbox below to accept this Agreement:

WJW does not allow anyone who has EVER been convicted of a felony or any crime involving theft, violence, a sex crime, or a crime against children to be on staff.

I affirm that the statement above does not disqualify me from eligibility to serve as a WJW staff member.

I understand that by signing below, I acknowledge that the above information is true and any acts of perjury justify dismissal. I will abide by the WJW coaches handbook and code of ethics. 

I accept the above
 You accept the above Agreement
Name
Your birth date
RadDatePicker
RadDatePicker
Open the calendar popup.
Grade
select
 What grade will you be in for the 2017/2018 school year?
Address
City
Zip
Cell Phone
 Format: ###-###-####
Best Email Contact
Shirt Size
select
Medical Issues
 Do you have any medical issues that you want WJW staff to be aware of?
Emergency Contact
 provide emergency contact information for a parent or guardian, including Name, Relationship, Address, Phone Number, and Email Address.
Do you cheer for WHS
select
 Please select answer that best fits
Cheer Skill Strength
select
 What are you most comfortable teaching?
Availability
 Please list your availability and commitment level or any conflicts you may have
Verification
 

 Required field